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Individual

ANGEL L CUESTA I

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM, FACFAS, PA

Contact information

Practice address
6831 NW 11TH PL STE 3, GAINESVILLE, FL 32605-4259
(352) 331-3077
(352) 331-3265
Mailing address
6831 NW 11TH PL, SUITE #3, GAINESVILLE, FL 32605-4259
(352) 331-3077
(352) 331-3265

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO2016
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
054892800
FL
01
1074HILH
NEIGHBORHOOD HEALTH PARTNERSHIP
FL
01
31257
COVENTRY HEALTH
FL
01
65174
BCBS
FL
Enumeration date
07/15/2006
Last updated
04/22/2010
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